Selection Sheet
General Information
Salesman
*
Please Select
Yitzy Reiner
Yehuda Sternstein
Sruli Lipschitz
Bill Reagan
Kevin Bourassa
Job Address:
*
Street Address
Suite #
City
State / Province
Postal / Zip Code
General Contractor:
*
Is this a Bonded Job?
*
Yes
No
How many deliveries?
*
How many units?
*
Regent Project Manager
First Name
Last Name
Regent Project Manager Phone #
Please enter a valid phone number.
Estimated start date:
*
-
Month
-
Day
Year
Date
Are common areas included?
*
No
Yes
What common areas are included?
Is this job Tax Exempt?
*
Yes
No
Please Upload Tax Exempt Form
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Please upload the Unit Matrix
*
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Cabinet Information
How many schemes?
*
1
2
3
4
Scheme 1 (A)
Location of SCHEME 1 (A)
*
Cabinet Line
*
Thermofoil
Melamine
Paint/Stain
Acrylic
Box Style
*
Framed
Frameless
Box Construction
*
Plywood
Particle Board
Door Style
*
Shaker
Shaker with Grooves
Thin Rail Shaker
Slab
Raised Panel
Slab - MDF Wood Veneer (Sherwood)
Slab - MDF (Painted)
Recessed Panel
Drawer Style
*
Same as Door
Other
Door Grain
*
N/A
Verticle
Horizontal
Hinges
*
Non Soft Close
Soft Close
Other
Drawer Slides Style
*
Side Mount
Undermount
Drawer Slides Type
*
Full Extension Non Soft Close
Full Extension Soft Close
Full Extension Self Close (not soft close)
Epoxy Self Close (not soft close)
Metal Box Self Close (not soft close)
Metal Box Soft Close
Other
Door and Exterior Color:
*
Door Color (Please upload image)
*
Browse Files
Drag and drop files here
Choose a file
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of
Interior Color
*
Matching Door
Natural
Other
Drawer Box
*
Dovetail
Metal
Plywood
Matching Carcass
Other
Regent will supply:
Kitchen Pulls
Vanity Pulls
Movable Islands
Floating Shelves
Trash Pull-outs
Lazy Susan Hardware
Kitchen Pulls:
*
Kitchen Pulls
SKU#
Size / CC
Color
Kitchen Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
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of
Vanity Pulls
*
Same as Kitchen
Other
Vanity Pulls Type:
*
Vanity Pulls
SKU#
Size / CC
Color
Vanity Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
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of
Movable Islands Type
*
Standard
ADA
How will regent send the Islands?
*
Ready to Assemble
Assembled
Island Assembly to be done
*
On Site
At the Warehouse
Please Upload Island Specifications
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many brackets per floating shelf?
*
Trash Pull-outs Type
*
Single
Double
Trash Pull-out Door Kit
*
Yes
No
Scheme 1 (A) Notes
0/150
Scheme 2 (B)
Location of SCHEME 2 (B)
*
Cabinet Line
*
Thermofoil
Melamine
Paint / Stain
Acrylic
Box Style
*
Framed
Frameless
Box Construction
*
Plywood
Particle Board
Door Style
*
Shaker
Shaker with Grooves
Thin Rail Shaker
Slab
Raised Panel
Drawer Style
*
Same as Door
Other
Door Grain
*
N/A
Verticle
Horizontal
Hinges
*
Non Soft Close
Soft Close
Other
Drawer Slides Style
*
Side Mount
Undermount
Drawer Slides Type
*
Full Extension Non Soft Close
Full Extension Soft Close
Full Extension Self Close (not soft close)
Epoxy Self Close (not soft close)
Metal Box Self Close (not soft close)
Metal Box Soft Close
Other
Door and Exterior Color:
*
Door Color (Please upload image)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Color
*
Matching Door
Natural
Other
Drawer Box
*
Dovetail
Metal
Plywood
Matching Carcass
Other
Regent will supply:
Kitchen Pulls
Vanity Pulls
Movable Islands
Floating Shelves
Trash Pull-outs
Lazy Susan Hardware
Kitchen Pulls:
*
Kitchen Pulls
SKU#
Size / CC
Color
Kitchen Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Vanity Pulls
*
Same as Kitchen
Other
Vanity Pulls Type:
*
Vanity Pulls
SKU#
Size / CC
Color
Vanity Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Movable Islands Type
*
Standard
ADA
How will regent send the Islands?
*
Ready to Assemble
Assembled
Island Assembly to be done
*
On Site
At the Warehouse
Please Upload Island Specifications
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many brackets per floating shelf?
*
Trash Pull-outs Type
*
Single
Double
Trash Pull-out Door Kit
*
Yes
No
Scheme 2 (B) Notes
0/150
Scheme 3 (C)
Location of SCHEME 3 (C)
*
Cabinet Line
*
Thermofoil
Melamine
Paint / Stain
Acrylic
Box Style
*
Framed
Frameless
Box Construction
*
Plywood
Particle Board
Door Style
*
Shaker
Shaker with Grooves
Thin Rail Shaker
Slab
Raised Panel
Drawer Style
*
Same as Door
Other
Door Grain
*
N/A
Verticle
Horizontal
Hinges
*
Non Soft Close
Soft Close
Other
Drawer Slides Style
*
Side Mount
Undermount
Drawer Slides Type
*
Full Extension Non Soft Close
Full Extension Soft Close
Full Extension Self Close (not soft close)
Epoxy Self Close (not soft close)
Metal Box Self Close (not soft close)
Metal Box Soft Close
Other
Door and Exterior Color:
*
Door Color (Please upload image)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Color
*
Matching Door
Natural
Other
Drawer Box
*
Dovetail
Metal
Plywood
Matching Carcass
Other
Regent will supply:
Kitchen Pulls
Vanity Pulls
Movable Islands
Floating Shelves
Trash Pull-outs
Lazy Susan Hardware
Kitchen Pulls:
*
Kitchen Pulls
SKU#
Size / CC
Color
Kitchen Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Vanity Pulls
*
Same as Kitchen
Other
Vanity Pulls Type:
*
Vanity Pulls
SKU#
Size / CC
Color
Vanity Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Movable Islands Type
*
Standard
ADA
How will regent send the Islands?
*
Ready to Assemble
Assembled
Island Assembly to be done
*
On Site
At the Warehouse
Please Upload Island Specifications
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many brackets per floating shelf?
*
Trash Pull-outs Type
*
Single
Double
Trash Pull-out Door Kit
*
Yes
No
Scheme 3 (C) Notes
0/150
Scheme 4 (D)
Location of SCHEME 4 (D)
*
Cabinet Line
*
Thermofoil
Melamine
Paint / Stain
Acrylic
Box Style
*
Framed
Frameless
Box Construction
*
Plywood
Particle Board
Door Style
*
Shaker
Shaker with Grooves
Thin Rail Shaker
Slab
Raised Panel
Drawer Style
*
Same as Door
Other
Door Grain
*
N/A
Verticle
Horizontal
Hinges
*
Non Soft Close
Soft Close
Other
Drawer Slides Style
*
Side Mount
Undermount
Drawer Slides Type
*
Full Extension Non Soft Close
Full Extension Soft Close
Full Extension Self Close (not soft close)
Epoxy Self Close (not soft close)
Metal Box Self Close (not soft close)
Metal Box Soft Close
Door and Exterior Color:
*
Door Color (Please upload image)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Color
*
Matching Door
Natural
Other
Drawer Box
*
Dovetail
Metal
Plywood
Matching Carcass
Other
Regent will supply:
Kitchen Pulls
Vanity Pulls
Movable Islands
Floating Shelves
Trash Pull-outs
Lazy Susan Hardware
Kitchen Pulls:
*
Kitchen Pulls
SKU#
Size / CC
Color
Kitchen Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Vanity Pulls
*
Same as Kitchen
Other
Vanity Pulls Type:
*
Vanity Pulls
SKU#
Size / CC
Color
Vanity Pulls Image (Please Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Movable Islands Type
*
Standard
ADA
How will regent send the Islands?
*
Ready to Assemble
Assembled
Island Assembly to be done
*
On Site
At the Warehouse
Please Upload Island Specifications
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many brackets per floating shelf?
*
Trash Pull-outs Type
*
Single
Double
Trash Pull-out Door Kit
*
Yes
No
Scheme 4 (D) Notes
0/150
Back
Next
Stone Information
How many Schemes
*
1
2
3
4
Scheme 1 (A)
Location of SCHEME 1 (A)
*
Regent will Supply
Kitchen Stone
Vanity Stone
Kitchen Sink
Kitchen Sink ADA
Vanity Sink
Vanity Sink ADA
Stone Brackets
Sink Clips (If Regent is not doing Install)
Kitchen Stone will be
*
Granite
Quartz
Kitchen Stone Thickness
*
2 CM
3 CM
Other
Kitchen Splash Height
*
N/A
Full Height
4"
Other
Kitchen Stone Color
Vanity Stone will be
*
Granite
Quartz
Vanity Stone Thickness
*
2 CM
3 CM
Other
Vanity Splash Height
*
N/A
4"
Other
Vanity Stone Color
*
Vanity Faucet C/O picture.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Kitchen Sink
*
Please enter SKU #
Kitchen Sink ADA
*
Please enter SKU #
Vanity Sink
*
Please enter SKU #
Vanity Sink ADA
*
Please enter SKU #
How many brackets are needed per unit (Average)
*
Stone Scheme 1 (A) Notes
Scheme 2 (B)
Location of SCHEME 2 (B)
*
Regent will Supply
Kitchen Stone
Vanity Stone
Kitchen Sink
Kitchen Sink ADA
Vanity Sink
Vanity Sink ADA
Stone Brackets
Sink Clips (If Regent is not doing Install)
Kitchen Stone will be
*
Granite
Quartz
Kitchen Stone Thickness
*
2 CM
3 CM
Other
Kitchen Splash Height
*
N/A
Full Height
4"
Other
Kitchen Stone Color
Vanity Stone will be
*
Granite
Quartz
Vanity Stone Thickness
*
2 CM
3 CM
Other
Vanity Splash Height
*
N/A
4"
Other
Vanity Stone Color
*
Vanity Faucet C/O picture.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Kitchen Sink
*
Please enter SKU #
Kitchen Sink ADA
*
Please enter SKU #
Vanity Sink
*
Please enter SKU #
Vanity Sink ADA
*
Please enter SKU #
How many brackets are needed per unit (Average)
*
Stone Scheme 2 (B) notes
Scheme 3 (C)
Location of SCHEME 3 (C)
*
Regent will Supply
Kitchen Stone
Vanity Stone
Kitchen Sink
Kitchen Sink ADA
Vanity Sink
Vanity Sink ADA
Stone Brackets
Sink Clips (If Regent is not doing Install)
Kitchen Stone will be
*
Granite
Quartz
Kitchen Stone Thickness
*
2 CM
3 CM
Other
Kitchen Splash Height
*
N/A
Full Height
4"
Other
Kitchen Stone Color
Vanity Stone will be
*
Granite
Quartz
Vanity Stone Thickness
*
2 CM
3 CM
Other
Vanity Splash Height
*
N/A
4"
Other
Vanity Stone Color
*
Vanity Faucet C/O picture.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Kitchen Sink
*
Please enter SKU #
Kitchen Sink ADA
*
Please enter SKU #
Vanity Sink
*
Please enter SKU #
Vanity Sink ADA
*
Please enter SKU #
How many brackets are needed per unit (Average)
*
Stone Scheme 3 (C) notes
Scheme 4 (D)
Location of SCHEME 4 (D)
*
Regent will Supply
Kitchen Stone
Vanity Stone
Kitchen Sink
Kitchen Sink ADA
Vanity Sink
Vanity Sink ADA
Stone Brackets
Sink Clips (If Regent is not doing Install)
Kitchen Stone will be
*
Granite
Quartz
Kitchen Stone Thickness
*
2 CM
3 CM
Other
Kitchen Splash Height
*
N/A
Full Height
4"
Other
Kitchen Stone Color
Vanity Stone will be
*
Granite
Quartz
Vanity Stone Thickness
*
2 CM
3 CM
Other
Vanity Splash Height
*
N/A
4"
Other
Vanity Stone Color
*
Vanity Faucet C/O picture.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Kitchen Sink
*
Please enter SKU #
Kitchen Sink ADA
*
Please enter SKU #
Vanity Sink
*
Please enter SKU #
Vanity Sink ADA
*
Please enter SKU #
How many brackets are needed per unit (Average)
*
Stone Scheme 4 (D) notes
Back
Next
Additional Cabinet Information
Regent will be doing the following for cabinets:
*
Delivery
Offload
Install
Site / Install Items
*
N/A
Crown Molding
Light Valance
Double Fillers
Metal Box (Needed for delivery)
Locks for cabinets
Filler Under the fridge
Dead Corner Caps
Cabinet Protection
Additional Stone Information
Regent will be doing the following for stone:
*
Delivery
Offload
Install
Submit
Should be Empty: